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1750699211
MARK ALAN BROSAL
FORT COLLINS, CO
NPI
1750699211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: CO 1317)
Enumeration Date
2010-09-18
Last Update Date
2010-09-18
Business Address
Mr. MARK ALAN BROSAL MA. LPC
317 URANUS ST
FORT COLLINS, CO 80525-4050
Phone number: 970-215-6806
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Mailing Address
Mr. MARK ALAN BROSAL MA. LPC
317 URANUS ST
FORT COLLINS, CO 80525-4050
Phone number: 970-215-6806
Copy
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